| NPI | 1073126314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0026867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 30144773) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 110700) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2022-12-01 |